Individual
ALEXIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
18230 VERONICA CT, MOSELEY, VA 23120-1927
(039) 439-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010206
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
12/21/2023
Last updated
08/30/2024
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